Digitally Enhanced Nursing Discharge Teaching Program for Geriatric Trauma

NCT05176054 | Completed

• 1 other identifier: KMUHIRB- F(II)-20210057
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This quasi-experimental study evaluates the effectiveness of a digitally enhanced nursing discharge teaching program for older adults recovering from limb fractures. As patients transition from the acute trauma ward to home care, they often face significant challenges managing pain, psychological distress, and daily functioning. This study compares a structured, digitally supported educational intervention against standard hospital discharge care. The primary goal is to determine if the digital program improves patients' pain intensity, depressive symptoms, and overall quality of life during the first six weeks post-discharge compared to routine care.

Conditions

Trauma; Aging

Outcome Measures

Primary Outcomes (1)

• The World Health Organization Quality of Life Questionnaire

  The WHOQoOL-BREF will be used to measure quality of life. Six popular generic instruments of HRQOL are commonly used as disability outcome measures, some of them were developed later were tested trans-culturally in extensive research programs such as the WHOQoL-BREF. The WHOQoL-BREF is a 26-item scale that is measure along with four subscales including physical, psychological, social relationship and environment domains. Scores range from 1 to 5 with higher scores indicating higher quality of life. The reliability and validity of the Chinese WHOQoL-BREF have been tested in patients with traumatic injuries, but not in geriatric trauma. Thus, the Cronbach's alpha for this study will be retested.

  Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.

Secondary Outcomes (2)

• The Numeric Pain Rating Scale

  Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.

• The Geriatric Depression Scale Short Form

  Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.

Study Arms (2)

Experimental group

EXPERIMENTAL

Participants in this experimental arm receive the digitally enhanced nursing discharge teaching program. This includes interactive, multimedia educational content delivered prior to hospital discharge, followed by structured telephone follow-ups during the 6-week recovery period.

Other: Digitally Enhanced Nursing Discharge Teaching Program

Contrast group

NO INTERVENTION

Participants in this contrast arm receive a standard pamphlet, routine hospital discharge care and standard verbal education prior to transitioning home.

Interventions

Digitally Enhanced Nursing Discharge Teaching Program OTHER

A structured transitional care program utilizing interactive, multimedia digital content to teach pain management, psychological coping, and recovery strategies. The initial digital education provided in the acute ward is supplemented by scheduled telephone follow-up sessions conducted by nursing staff to reinforce the material and support patients in their home environment.

Experimental group

Eligibility Criteria

• Age: 65 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• First-time patients with limb fracture as the primary diagnosis.
• Capable of independent mobility before the injury.
• Able to communicate in Mandarin.
• Willing to participate from hospital discharge to six weeks post-discharge.
• Able to use a smartphone and have internet access.
• A pain score greater than four on the Numeric Pain Rating Scale (NPRS).
• A depression score greater than four on the Geriatric Depression Scale Short Form (GDS-SF).

You may not qualify if:

• Were cognitively impaired.
• Suffered from cardiovascular, pulmonary, or cerebral insufficiency.
• Had a history of psychiatric or terminal illnesses.
• Had visual impairments.

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

Study Sites (1)

Kaohsiung Medical University

Kaohsiung City, Taiwan

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Bih-O Lee, PHD

  Kaohsiung Medical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 30, 2021
• First Posted: January 4, 2022
• Study Start: January 2, 2023
• Primary Completion: February 29, 2024
• Study Completion: February 29, 2024
• Last Updated: May 22, 2026

Record last verified: 2026-05

Locations

TW (1)